Coronary Angiographic Profile of Patients with Acute Coronary Syndrome <45 Years of Age in Rural Population of Tamil Nadu
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 1
Abstract
Background: In India Coronary artery disease manifests almost a decade earlier than in western countries. There are few existing data regarding Coronary angiographic profile of patients less than 45 years of age admitted as Acute Coronary Syndrome, hence this study. Objective: This study examined the Coronary angiographic profile of young men and women admitted with Acute Coronary Syndrome in our hospital. Methods: The methodology used was single centre retrospective analysis. 121 patients less than 45years of age admitted with acute Coronary syndrome were included in the study. All underwent Coronary angiogram within 48hours of admission. Results: This is a retrospective study was done from 1st April 2014 to 15th February 2018. Out of 1152 Coronary Angiograms done of patients, there were 121 (10.5%) patients with Coronary angiograms less than 45 years of age. Males were predominant 103/121(85.1%). The incidence of Single / Double vessel disease was nearly equal (39.6%/35.5%). 22 patients (18.1%) had recanalized coronary arteries (Non-Obstructive CAD). 80 patients (66%) were admitted with diagnosis of acute anterior wall myocardial infarction followed by inferior wall MI 31(37.8%). Incidence of right dominant system was (80.9%). The predominant vessel involved was the left anterior descending artery (LAD) followed by right coronary artery (RCA). Type A LAD was predominant 95/121 (80.9%). Only 54 patients (44.6%) had discrete Coronary lesions. Proximal LAD / Mid LAD were equally involved. Mid RCA was commonly involved when RCA was the culprit vessel. Distal LCX involvement was more common. Conclusion: There is equal prevalence of Single vessel disease / Double vessel disease with a lesser prevalence of recanalized Coronary arteries (Non-Obstructive CAD). The severity of acute coronary syndrome seems to be increasing in our population.
Authors and Affiliations
A G Narayanaswamy, P Vinodh Kumar, Mohd Shahid, S Porchelvan, K Meenakshi, V Srinivasan
Keywords
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